# KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2
- **Other names:** Evergreen Healthcare OB Hospitalists
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1891883435
- **Legal business name:** KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2
- **Authorized official:** TINA CHRISTINE MYCROFT (CFO)
- **Authorized official phone:** (425) 899-2606

## Contact information

- **Practice address:** 12040 NE 128TH ST, MS 105, KIRKLAND, WA 98034-3013
- **Practice address phone:** (425) 899-2560
- **Practice address fax:** (425) 899-2079
- **Mailing address:** PO BOX 34036, SEATTLE, WA 98124-1036
- **Mailing address phone:** (425) 899-3292
- **Mailing address fax:** (425) 899-3269

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VX0000X | Obstetrics Physician | — | NULL | Yes |
| 207VX0000X | Obstetrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 07/07/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7127426 | — | WA |
| 01 | — | CG2833 | MEDICARE RAILROAD | WA |
| 01 | — | CG8137 | MEDICARE RAILROAD | WA |
| 01 | — | CJ9678 | MEDICARE RAILROAD | WA |
| 01 | — | CQ2437 | MEDICARE RAILROAD | WA |